Sharing decisions in breast cancer care: Development of the Decision Analysis System for Oncology (DAS-O) to identify shared decision making during treatment consultations.

Health Expectations : an International Journal of Public Participation in Health Care and Health Policy
Richard BrownMartin H N Tattersall

Abstract

Shared Decision Making (SDM) is widely accepted as the preferred method for reaching treatment decisions in the oncology setting including those about clinical trial participation: however, there is some disagreement between researchers over the components of SDM. Specific standardized coding systems are needed to help overcome this difficulty. The first objective was to describe the development of an oncology specific SDM coding system, the DAS-O. The second objective was to provide reliability and validity data supporting the DAS-O. Consultation data were available from tertiary cancer center out patient oncology clinics in: Australia, New Zealand (ANZ), Switzerland, Germany and Austria (SGA). Patients were women with a confirmed diagnosis of early stage breast cancer. Reliability data were from 18 randomly selected coded transcripts drawn from ANZ and SGA. Concurrent validity data are from 55 (ANZ) consultations. Inter and Intra rater reliability data was evaluated using Kappa correlation statistics and correlation coefficients. Correlation coefficients were used to assess concurrent validity between the DAS-O and two other SDM coding systems, OPTION and DSAT. Inter and Intra rater reliability for the system were high with a...Continue Reading

References

Jan 1, 1995·Medical Decision Making : an International Journal of the Society for Medical Decision Making·H A Llewellyn-ThomasE C Thiel
Jan 20, 1999·European Journal of Cancer : Official Journal for European Organization for Research and Treatment of Cancer (EORTC) [and] European Association for Cancer Research (EACR)·L J FallowfieldR L Souhami
Sep 17, 1999·BMJ : British Medical Journal·A Towle, W Godolphin
Nov 30, 1999·BMJ : British Medical Journal·J Gambrill
Dec 28, 1999·JAMA : the Journal of the American Medical Association·C H BraddockW Levinson
Jan 14, 2000·Nursing Standard·N Bowles
May 16, 2001·Social Science & Medicine·M GattellariM H Tattersall
Apr 8, 2003·Quality & Safety in Health Care·G ElwynR Grol
Aug 6, 2003·Patient Education and Counseling·Pierrette GuimondTom Elmslie
Apr 15, 2004·Social Science & Medicine·R F BrownM H N Tattersall
Jul 30, 2005·Patient Education and Counseling·Gregory Makoul, Marla L Clayman
Dec 29, 2007·Academic Medicine : Journal of the Association of American Medical Colleges·Richard F Brown, Carma L Bylund
May 30, 2008·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Terrance L AlbrechtJohn C Ruckdeschel

❮ Previous
Next ❯

Citations

Jun 14, 2014·American Journal of Preventive Medicine·Richard M HoffmanMichael P Pignone
May 10, 2015·Patient Education and Counseling·Paul J BarrGlyn Elwyn
Jul 13, 2012·Patient Education and Counseling·Marla L ClaymanAdam R Williams
May 31, 2011·Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen·Isabelle SchollJörg Dirmaier
Mar 5, 2013·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Nicolas CouëtFrance Légaré
Jun 29, 2012·Health Policy·Janneke Elisabeth ElberseJacqueline Elisabeth Willy Broerse
Feb 9, 2012·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Richard BrownIlona Juraskova
Aug 24, 2017·Sociology of Health & Illness·Francesca AlbyCristina Zucchermaglio
Sep 27, 2019·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Marleen KunnemanArwen H Pieterse
Jun 25, 2020·BMC Medical Informatics and Decision Making·Melissa L HarryThomas E Elliott
Oct 24, 2018·SAGE Open Medicine·Joseph D TarimanKatherine Jones Masterton
Sep 29, 2020·Social Science & Medicine·Marilena FatiganteCristina Zucchermaglio

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.